Repeated USMLE Questions Step 1- Review- 145

Q- A patient who was involved in a motor vehicle accident 2 years ago now has chronic pain. He tells his doctor he thinks he is becoming addicted to his short-acting morphine. He has been visiting multiple physicians to obtain prescription refills. Which of the following is the most appropriate treatment for his opioid use … Read more

Repeated USMLE Questions Step 1 Review- 144- Pharmacology

Q- A patient taking haloperidol develops muscle rigidity, high fever, and confusion. What is the best initial management step? A- Administer dantrolene B- Give epinephrine C- Start propranolol D- Stop the antipsychotic .   Q- A 25-year-old man presents with tremors, tachycardia, and anxiety after taking an excessive amount of caffeine. Which of the following … Read more

Repeated USMLE Questions Step 1 Review-143- Pathology

Q- A 55-year-old woman presents with multiple cafĂ©-au-lait spots and soft, pedunculated skin tumors. Which genetic defect is associated with this condition? A- Deletion of chromosome 22q B- Mutation of the RB tumor suppressor gene C- Mutation of the NF1 tumor suppressor gene D- Trinucleotide repeat expansion on chromosome 4   Q- A 30-year-old woman … Read more

Repeated USMLE Questions Step 1 Review- 142- Pharmacology

Q- A 55-year-old man with atrial fibrillation is taking warfarin. He is started on trimethoprim-sulfamethoxazole for a urinary tract infection. What is the most likely outcome of this drug interaction? A- Decreased anticoagulant effect B- Enhanced metabolism of warfarin C- Increased risk of bleeding D- No significant effect   Q- A 35-year-old woman with generalized … Read more

Repeated USMLE Questions Step 1 Review- 141- Pathology

Q- A 48-year-old man presents with jaundice, dark urine, and pale stools. Lab tests show elevated direct bilirubin and markedly elevated alkaline phosphatase. Ultrasound reveals dilation of intrahepatic bile ducts. What is the most likely cause? A-Gilbert disease B-Hemolytic anemia C-Obstruction of the common bile duct D-Viral hepatitis   Q- A 22-year-old man presents with … Read more

Repeated USMLE Questions Step 1 Review- 140- Pharmacology

Q- A 60-year-old man with atrial fibrillation is started on amiodarone. Which adverse effect is most commonly associated with this medication? A- Hyperkalemia B- Hypoglycemia C- Nephrotoxicity D- Pulmonary fibrosis   Q- A 28-year-old woman develops a dry cough after beginning treatment for hypertension. Which drug is most likely responsible? A- Amlodipine B- Lisinopril C- … Read more